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NE · SLP licensure
Everything it takes to get your speech-language pathology license in Nebraska — the licensing board and application steps, the required Praxis 5331 exam and its 162 passing score, the Clinical Fellowship, fees, and renewal rules.
Required Praxis test
Praxis 5331 — Speech-Language Pathology
Passing score
162 (out of 200)
Format
132 multiple-choice questions · 150 minutes · computer-based
Registration
Register through ETS · $146 test fee · offered year-round
Every US state — including Nebraska — accepts the Praxis 5331 at the ASHA-set 162 cut score for SLP licensure. There is no separate state-specific SLP Praxis exam.
Licensing board
Nebraska licenses SLPs through DHHS Division of Public Health and issues a provisional license during the Clinical Fellowship. Praxis 5331 at 162 is required, and school-based SLPs additionally hold a Nebraska Department of Education Speech-Language Pathology endorsement.
Authoritative reference: ASHA state-by-state advocacy page for Nebraska →
The Nebraska SLP market
Nebraska licenses Speech-Language Pathologists through the Nebraska Department of Health and Human Services, Division of Public Health, under the state's Speech-Language Pathology Practice Act. Omaha and Lincoln anchor the state's largest hospital and school-based employers, while rural Nebraska districts frequently rely on contracted or telepractice SLP services. Nebraska also requires a separate certificate from the Nebraska Department of Education for school-based practice.
BLS OES, Nebraska statewide (approximate range)
Passing score note: Nebraska accepts the ASHA-set 162 passing score on Praxis 5331, with no state-specific modification.
The Nebraska Department of Health and Human Services issues the clinical license required for hospitals, clinics, and private practice. Applicants must document a CAA-accredited graduate degree, supervised clinical hours, and a passing Praxis 5331 score.
SLPs working in Nebraska public schools also need a certificate from the Nebraska Department of Education, which reviews similar coursework but is administered separately from the DHHS clinical license. Nebraska's graduate programs typically structure coursework so students can pursue both credentials without extra classes.
New graduates apply for a provisional license to complete the nine-month Clinical Fellowship under a licensed CCC-SLP supervisor. Supervisors must hold an active, unrestricted Nebraska license, and CF documentation follows the standard ASHA CF-2 format.
After completing the CF, DHHS converts the provisional license to a full license. Omaha's large hospital systems are common CF placement sites for candidates pursuing medical-track careers.
Omaha-based systems including Nebraska Medicine, CHI Health, and Children's Nebraska employ a significant share of the state's hospital-based SLPs, with strong demand in pediatric feeding and dysphagia. Lincoln Public Schools and Omaha Public Schools are the largest school-based employers.
Rural Nebraska districts, particularly in the Panhandle and south-central counties, frequently contract with regional education service units or telepractice providers to fill SLP vacancies. Private pediatric clinics are concentrated in Omaha and Lincoln.
Nebraska SLP licenses renew on a biennial cycle through DHHS, with continuing education hours required through ASHA CEUs or board-approved coursework. Renewal reminders are sent electronically, but license holders are responsible for timely submission.
School-based SLPs holding a Department of Education certificate must separately maintain that credential under Nebraska's educator certification renewal cycle, which runs independently of the clinical license's two-year timeline.
A partial list of larger CAA-accredited programs. All programs listed prepare graduates to sit for Praxis 5331.
What Praxis score is required for Nebraska SLP licensure?
Nebraska requires the standard ASHA-set 162 passing score on Praxis 5331, the same threshold used nationwide.
Do Nebraska school SLPs need a separate certificate?
Yes — school-based SLPs need a certificate from the Nebraska Department of Education in addition to the clinical license issued by DHHS.
How does the Nebraska Clinical Fellowship work?
New graduates apply for a provisional license to complete the standard nine-month CF under a licensed supervisor, then submit CF-2 documentation to receive a full license.
Is there SLP demand in rural Nebraska?
Yes — rural districts, especially in the Panhandle, often rely on educational service units or telepractice providers to fill persistent SLP vacancies.
Earn a master's degree in Speech-Language Pathology
Complete a graduate program accredited by the Council on Academic Accreditation (CAA) — the near-universal requirement across US jurisdictions.
Pass the Praxis 5331 with a score of 162 or higher
The Speech-Language Pathology Praxis (5331) is the single national exam accepted by all state boards. 162 is the ASHA-set passing score and every state uses that same cut score.
Complete a Clinical Fellowship (CF)
A 36-week (9-month full-time equivalent) mentored clinical experience under a licensed CCC-SLP. Some states use their own name for it (California calls it the RPE) but the requirement is functionally equivalent.
Submit fingerprints and a background check
Standard across all state boards. Processing typically takes 2–6 weeks and must be completed before the license is issued.
Apply to the state licensing board
Send your Praxis score (ETS score report), transcripts, CF verification, and background clearance to the state board. Some states also require a jurisprudence exam on state SLP practice law.
ETS updated 9/4/2026
Nebraska also uses Praxis for other educator licenses. Speech- Language Pathologists only need 5331 — the full ETS list is included for reference.
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For test preparation materials, select the “View test details” link. If you are ready to register, you may add up to 4 tests to your cart before continuing on to scheduling. ## Tests required for specific licensure areas ## Content Testing: Teaching Endorsements To be certified in: Added Endorsement to Teaching Certificate You need to take... See ASLPI page for registration details  ASL PROFICIENCY INTERVIEW (0634)$185.00 Qualifying score: 170 [Continue to website](https://praxis.ets.org/test-takers/register-aslpi.html) Add to Cart Added  Health Occupations (5052)$130.00 Qualifying score: 152 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5052) Add to Cart Added  Computer Science (5652)$130.00 Qualifying score: 149 [View test details](https://praxis.ets.org/on/demandware.store/Sites-ETS-Praxis-Site/en_US/Product-Show?pid=5652) Add to Cart Added To be certified in: Added Endorsements You need to take...  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[View scores requirements](https://praxis.ets.org/scores)   Anita     Need Praxis Help? **Hi, I'm Anita your virtual assistant**. How can I help you today?   Email FormClose